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International Journal of Epidemiology 2003;32:336-337
© International Epidemiological Association 2003
Reprints and Reflections |
On the adulteration of bread as a cause of rickets
| The first 150 words of the full text of this article appear below. |
First published in The Lancet 1857;ii:4–5.
On commencing, in the year 1839, to see a considerable amount of practice amongst the poor of London, chiefly the out-patients of a public hospital, I was very much struck with the great number of cases of rickets. The complaint was shown more particularly in the bones of the leg, causing an outward curvature of the tibia and fibula; in children in their second and third year, it seemed almost the rule, and might be observed in the streets and the parks, as well as amongst children brought for advice. The complaint, moreover, was not by any means confined to the poor, but affected the children of the middle classes to a considerable extent.
The usual causes to which rickets are attributed are of a somewhat general nature, such as vitiated air, want of exercise and nourishing food, and a scrofulous taint.
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